Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Bed bugs are not too picky when it comes to feeding. As long as skin is exposed, it’s a juicy target. However, it seems that bed bugs enjoy feeding on the neck region, making their feeding habits very close to those sparkly vampires you see on Twilight. Since most people wear pajamas when they go to sleep, other common areas for bites include the arms, hands, feet and face since they are also exposed. If you are sleeping in a hotel and are nervous about bed bugs, simply wear extra clothing to completely cover your skin. You can also purchase plastic covers to protect yourself against these pests while sleeping out.
A definitive diagnosis of health effects due to bed bugs requires a search for and finding of the insect in the sleeping environment as symptoms are not sufficiently specific.[5] Bed bugs classically form a line of bites colloquially referred to as "breakfast, lunch, and dinner" and rarely feed in the armpit or behind the knee which may help differentiate it from other biting insects.[4] If the number in a house is large a pungent sweet odor may be described.[4] There are specially trained dogs that can detect this smell.[2]
Adult bedbugs are reddish brown in color, flat, oval-shaped, wingless and approximately 4-5 millimeters in length. Immature bedbugs (nymphs) may be translucent or light tan in color and therefore very difficult to see. Bedbugs are often more red in color after feeding. Bedbugs are attracted by warmth, and they generally feed during the night, often just before dawn. They tend to feed every five to 10 days, though they can survive without feeding for several months. Bedbugs pierce the skin and inject saliva that contains anesthetics and anticoagulants into the host, which often make their bites painless initially. After feeding on the host's blood for several minutes, bedbugs will crawl back to their hiding place. They will generally try to hide and remain within close range of their warm-blooded host. Affected individuals may feel and see the consequences of the bedbug bite afterward, though many individuals will not develop any physical signs of a bite. Bedbugs do not transmit or spread human disease.
The safest and most effective approach to getting rid of bed bugs is heat treatment, in which a trained professional heats the home's rooms one by one to a temperature of 50 degrees Celsius and sustains the heat for four hours. Heat does not penetrate well into wall voids, though, so desiccant dusts are often applied to those areas. No single technique can eliminate bed bugs—combinations of approaches are essential to getting the job done.

While you are sleeping, bed bugs will bite using their mouthparts, commonly referred to as beaks. As they bite, they release an anticoagulant in their saliva preventing your blood from clotting. This allows them to receive a steady two- to three-minute blood meal—what they need in order to survive and reproduce. Bed bugs will not bite in defense, they will only bite for the sole purpose of feeding.

Objects or insects in the ear can be placed in the ear by patients themselves, or an insect crawling in the ear. Ear wax can also cause ear problems if Q-tips are overused to clean the ears. Symptoms of an object in the ear are inflammation and sensitivity, redness, or discharge of pus or blood. When to seek medical care for an object or insect in the ear is included in the article information.


Some pest control firms utilize specialized heating equipment to de-infest furnishings, rooms, and entire dwellings. The procedure involves heating up the infested item or area to temperatures lethal to bed bugs. Portable heaters and fans are used to gradually heat the air to about 120 - 130°F while monitoring with strategically placed sensors. By carefully controlling the temperature, bugs and eggs are killed wherever they may be without damaging household items. 
I never had a problem with bed bugs until my neighbor came over. I didn’t even know she had them until this past Thursday (02/09/2017). She had a brand new bedroom suit she got from Arron’s and they were putting it on the truck. Next thing I knew, they were taking it back off and putting it on the porch. We live in apartme ts so we share a porch. Anyways I asked her why they did that, and it was like she was proud of the fact that she had them. Now I have bites on my upper forearm, and I have treated my house. She knew she had them and never said anythjng. Is there something that I can do about her knowing and not saying anything? I have grandchildren that come over on the weekends.

An allergy refers to a misguided reaction by our immune system in response to bodily contact with certain foreign substances. When these allergens come in contact with the body, it causes the immune system to develop an allergic reaction in people who are allergic to it. It is estimated that 50 million North Americans are affected by allergic conditions. The parts of the body that are prone to react to allergies include the eyes, nose, lungs, skin, and stomach. Common allergic disorders include hay fever, asthma, allergic eyes, allergic eczema, hives, and allergic shock.
Not sure how we got it since we never go anywhere. Been dealing with this for almost a year. I have terrible bites, scars, scabs and bumps all up and down both hands and arms. Have a bite on my cheek and some on my neck. Hubby has bumps that you can’t see, but you can feel them. I am going crazy itching. I don’t like leaving the house because of how I look. I use cover up and foundation on my hands to mask how bad my hands look. I wear a long-sleeved, summer weight sweater to hide the mess on my arms. Plus I can pull the sleeves down to help cover some of my hands.
Although treating bedbug bites isn't difficult, actually getting rid of the bedbugs is another story. A professional exterminator can help. You will need to discard infested mattresses, box springs, and pillows. You can heat treat or cold treat items such as clothing by laundering or freezing. However, the room itself will need to be treated to eliminate bedbugs that can live in cracks in walls, floors, and furniture.
This morning, I stood in front of the mirror for my daily grooming routine when the most gruesome red bumps appeared before me and it’s at the side of my neck! Thankfully it’s Saturday coz I will not spend my time with my co-workers! I researched and stumble upon your website. I wish you could help me The bites are getting itchy and what would you recommend? Natural or modern medicine? Thanks i’ll be waiting for your answer…
Preparing for bed bug treatment is tedious yet important. Very comprehensive preparation is necessary when infestations are heavy and the bugs are widely dispersed. More limited prep may be adequate for light infestations since at these levels the bed bugs typically are more confined to sleeping areas (beds, sofas, and recliners). Pest control firms have their own policies, however, regarding preparation requirements which may also depend on the manner of treatment. 

NO you cannot contract HIV from Bed bugs in fact as far as I know they haven’t been found to transmit ANYTHING they are just a nuisance and if your allergic to the bites its worse otherwise they are not dangerous. However there is always the danger from infection I mean the bites becoming infected if you don’t take care of them like any wound not HIV. And they are creepy but ultimately mosquitoes could be more dangerous if u there is west nile around or something.

We have bedbugs. They are all over the house. In all of the rooms. My daughter feels that it would be safer to sleep outside than in this house. My son has really sensitive skin and the bedbugs love to attack him. One night he just kept twisting and turning because he must have been itching. We have had to get rid of all of our beds and have had to sleep on the floor. The floor is safer than the beds but not by much. The bedbugs seem to be everywhere. On the walls, on the floor, with you, or in your beds. We have tried many things so if anyone has any advice, it would be very much appreciated.
Hi Samantha! I highly recommend spending about 15min to investigate your bed (especially on the corners and don’t forget to look under the sheets, etc). If there are no signs of bed bugs, then I suggest that you don’t worry about it. Additionally, I have had itchy bites after a nights sleep and it turned out to be a once off occurrence, so just take action if it keeps happening. Hope that helps, sorry for the delayed response.
All my life i’ve been allergic to basically everything i thought it was a normal allergic reaction…when i went to the doctors she told me it looks like a random bug bite not a bed bug bite but i didn’t believe her she sent me home with some cream and steroids for the swolleness…but why i think most doctors lie to u idk because i google’d the cream she gave me it was for scabies {so that means i got bit by a begbug and didn’t even know} not even a doctor knows half of the times what are things…thank god i read up and treated my self for bedbugs!

Hey there! So I recently stayed in a condo through a timeshare. After two nights of staying there I woke up with about 30 bites all over my boxy (head to toe) throughout the day more and more bites appeared. They have began to itch very, very badly and are now beginning to blister. I did go to a nearby lake as well so it could possibly be something from the lake. I went to two separate physicians and neither one of them could diagnose the bites as anything. I am no longer there to inspect the bedding and furniture, unfortunately. Although I didn’t not see any blood spots, egg shells or any of that matter on the bed sheets. Do you think the bites could be from bed bugs?
We’ve randomly gotten bites here and there but it’s summer so we were unsure. We had a cleaning lady come in recently and use her vaccuum so we suspect that could’ve brought in bed bugs! Last night was worst ever but I was outside yesterday but didn’t notice these bites til I just woke up. No signs of spots left behind on mattress, maybe one dot on bedding but could be anything. What do you think?? I have about 6-8 on my middle back and they are about an inch or so apart in one line across bra line area
WE have been dealing with these pests for over a month now! WE are covered with welts and itch continuously. I tried bathing in shaving cream and get some relief. the shaving cream has a disinfectant in it that purifies the skins and relieves itching for several hours. I still find a stray bed bug every now and then but we have almost got the problem solved.
the Red bug bite is just as painful and itches with no let up like the Bed Bug bites,,,only difference is the Red Bug is in your skin living under your skin until you kill them. I remember my mom and dad use to say when fresh grass is cut not to roll around on the ground because the Red Bugs ( or Chiggers) would get ALL OVER YOUR BODY, and they were right so back in the 60″s we had only few treatments and the old remedies were passed down from family to family. ( you can buy Chigger ointment from pharmacies like Polks or old timers Drug Stores) we used Micureocome and Methilate for bites and scrapes. My spelling isn’t great.

Bed bugs will also succumb to cold temperatures below 32°F, but the freezing temperatures must be maintained for a longer period (e.g., one to two weeks). Consequently, heating tends to be a better option throughout much of the country. Efforts to rid entire dwellings of bed bugs by raising or lowering the thermostat will be unsuccessful, although pest control firms are able to achieve lethal temperatures with supplemental heaters (see the subsequent section entitled "Heat Treatments" for more details). 
Some people have no reaction whatsoever to bed bugs. In addition to not having much of an effect on the elderly, some are just not allergic. Since the irritation and welting appears as the result of an allergic reaction, it is possible to not even know that you were bitten at all. It is entirely possible for several people to live in the same house, and have one person not be affected.
I live in a high rise apt bldg. There have been reports of bed bugs since I moved in two years ago. Recently it was my turn. I see no bugs, but man o man did they have a feast on my legs, and inner thighs. I went for the ammonia trick. The only thing I had was window cleaner. It helped stopped the itch temporarily. Then I’m good for some hours. When the itch comes back, I douse again in Blue window cleaner again. Strange but true.
Bed bugs have flat oval bodies, six legs, are reddish-brown in color and are similar in size to a dog tick - many have described the adults as resembling a flat apple seed. Adult bed bugs are approximately 1/4 inch long, while nymphs (juveniles) may be as small 1/16 of an inch. With feeding, they enlarge or engorge with blood. The adults turn from a brownish to reddish color, while the translucent nymphs may become bright red during the feeding process. 
No one tactic alone will be effective. A good pest control operator will develop a strategy to deal with the bed bugs that takes the particulars of the setting into account, and will return several times to check on progress. Dry ice sprays that freeze bed bugs have limited potential to reach hidden bugs. Steam has somewhat better penetrating ability. The downside of steam is that it leaves moisture behind. Dry ice doesn't leave any residue at all. Vacuuming has a role, but it has limitations, too. Some insecticides leave behind deposits that are slow to act but are effective in the long-term. Other insecticides kill on contact, but only reach insects that are in view. Insecticide resistance makes the choice of tactics more difficult.
Summer means more time outdoors–and more opportunity for annoying critters to bite you. Most of the time, all you’ll get is a little red bump with itching and maybe a little swelling. These insect bite symptoms can be treated easily with anti-itch creams and over-the-counter antihistamines. Occasionally, bites can cause allergic reactions that lead to severe swelling and shortness of breath; if that happens to you this season, you need to be seen by a doctor.
Cutaneous reactions to bedbug bites can vary widely and are easily confused with other conditions (Table 1).15–19 A typical lesion is a 2- to 20-mm, pruritic, erythematous maculopapule with a central hemorrhagic crust or vesicle.5,8 Macules, papules, wheals (Figure 3), vesicles, bullae, and nodules have all been reported,20 as have asymptomatic lesions with a barely visible punctum as the only evidence of a bite.8 Bites vary in number and are preferentially distributed in unclothed areas (e.g., face, neck, extremities). Unlike many other arthropod and insect bites, bedbug bites are rarely located in the popliteal fossae or axillae.21 Lesions can be noticeable immediately when waking up or several days later, with the reaction often progressing from delayed to immediate with subsequent exposures22–26  (Table 2). The classic bedbug rash is referred to as “breakfast, lunch, and dinner” because it commonly presents as several bites in a row or cluster 20 (Figure 4).
I was in europe and have always been healthy and felt fine the 2 months while there, on my drive back home I started itching my arm and didn’t think much of it. During the next few days to weeks the itching turned into welts that itched like crazy and got bigger and harder within hours. The redness would then extend out apx. the size of a 50 cent piece that would form a small scab in the middle as it would heal. Then it would heal , but the next few welts would appear in different places. They would start off as itchy flat red circles that would quickly become firm and red. I sometimes would also feel stings all over . I’ve had this problem now for over a month. One dr. told me I had mites, another said I had bed bugs. I have small scars all over my body now. I used the all over cream 4 nights ago that is supposed to kill mites. The itching is still there but not quite as bad today and yesterday. I’ m going for a third opinion tomorrow. I never knew that itching can keep me from working or actually doing anything else except for keeping calamine lotion beside me and rubbing it on me every 10 minutes. Good luck to all of you that are dealing with the same nightmare.
Bedbugs do, however, have a unique bite pattern. Although some bites may appear alone, most bites occur in a row of three to five bites (termed "breakfast, lunch, and dinner") or in a cluster of red bumps (a rash called bedbug dermatitis). The bites often appear in a zig-zag formation, but may appear in a straight line if the bugs bite you in the morning.

The bed bug is a universal problem yet it can be dealt with on a regular basis. used items and new items carry bed bugs. always wash and dry for 20 min. ( its the heat that kills the bug). bed pillows need to be washed and dried on a regular basis and the beds head board are full of body skin cells that attract the bugs. a good old cleaning with vaccum and wipe down is needed. keep your vac cleaned and bag empty after each use, the bugs are in the vac.

Individuals who experience repeated bites over time may have more pronounced symptoms. Some people may also develop scarring or a skin infection from intense scratching of the skin. Rarely, a more severe systemic allergic reaction to a bedbug bite may develop. Some individuals may develop insomnia and anxiety from serious or repeated bedbug infestations.

I have very small red bumps on only one hand. Most of them skin color a few red. They don’t hurt and if I scratch them they itch a little bit mostly I don’t even notice they are there. They aren’t really in a line but I have probably about 6 or so on the top of my hand only. I searched my bed and all around it I find no trace of anything. I did read up and find that some bed bugs affect people differently and don’t show up right away. I have been sleeping on this mattress for over a month now and this just started happening for about 3 weeks. Am I just being paranoid or you think it sounds like bed bugs at all

WE have been dealing with these pests for over a month now! WE are covered with welts and itch continuously. I tried bathing in shaving cream and get some relief. the shaving cream has a disinfectant in it that purifies the skins and relieves itching for several hours. I still find a stray bed bug every now and then but we have almost got the problem solved.
Becoming a victim of a bed bug infestation is certainly devastating, but the public can rest easy knowing that these pests are not known to transmit any diseases. While it is true that some pathogens have been detected in and on bed bugs including hepatitis B, and exotic organisms such as Trypanosoma cruzi (cause of Chagas Disease, rarely found in the United States) or Wolbachia species, unlike mosquitoes and ticks, bed bugs have not been associated with disease transmission.
I never had a problem with bed bugs until my neighbor came over. I didn’t even know she had them until this past Thursday (02/09/2017). She had a brand new bedroom suit she got from Arron’s and they were putting it on the truck. Next thing I knew, they were taking it back off and putting it on the porch. We live in apartme ts so we share a porch. Anyways I asked her why they did that, and it was like she was proud of the fact that she had them. Now I have bites on my upper forearm, and I have treated my house. She knew she had them and never said anythjng. Is there something that I can do about her knowing and not saying anything? I have grandchildren that come over on the weekends.
Becoming a victim of a bed bug infestation is certainly devastating, but the public can rest easy knowing that these pests are not known to transmit any diseases. While it is true that some pathogens have been detected in and on bed bugs including hepatitis B, and exotic organisms such as Trypanosoma cruzi (cause of Chagas Disease, rarely found in the United States) or Wolbachia species, unlike mosquitoes and ticks, bed bugs have not been associated with disease transmission.
During the day, bedbugs tend to hide away in furniture, floors, beds, and in wood or paper trash. They typically feed on human or animal blood at night, and most bites occur just before dawn. After taking their meal, which can last as little as three minutes, they drop off the host and crawl to a hiding place. Bedbugs can live for up to 10 months and can go without feeding for weeks.
Known to be international travelers and expert hitchhikers, bed bugs are everywhere. As you travel, you increase your chances of being bit. However, knowing how to identify the bites and what your treatment options are will help you decide your next course of action. Learn more about where to look for bed bugs and how to avoid them with these great blogs:

If you know that you have the bugs. Get sealing covers the kind that encloses completely, one for the mattress and one for the box spring. That will trap those critters inside and they will eventually die in there. Next you will need to decide of what combination of treatments you wish to use. Its a job that you will have to keep up with for some time. Do your research online first.
For those concerned about bedbug infestations in hotels, an important tip is that you can inspect any hotel room for the presence of the telltale signs of bedbugs. It is important to check the mattress and headboard, and luggage racks. In hotels, keeping your suitcase away from the bed and on a luggage rack can help prevent bedbugs from infesting your luggage. When you return home, inspect your luggage and put clothes immediately into the washer. While washing clothes in hot water does not kill bedbugs, drying clothes at a high temperature can eliminate them.
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